Healthcare Provider Details

I. General information

NPI: 1043127343
Provider Name (Legal Business Name): JULIA THOMPSON THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9624 BAILEY RD STE 285
CORNELIUS NC
28031-6124
US

IV. Provider business mailing address

9624 BAILEY RD STE 285
CORNELIUS NC
28031-6124
US

V. Phone/Fax

Practice location:
  • Phone: 704-710-6901
  • Fax:
Mailing address:
  • Phone: 704-702-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number367100
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: